Organization Active NPI

SV Trauma Counseling

  • Counseling Psychologist
  • Phoenix, AZ
National Provider Identifier
1407742190
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
SV TRAUMA COUNSELING
Practice address
2929 N 75TH Ave Ste 15
Phoenix, AZ 85033-5443
Phone
(602) 354-4506
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jorge Gallardo, D.C.
Title
Owner
Phone
(480) 203-5632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

2929 N 75TH Ave Ste 15
Phoenix, AZ 85033-5443

Mailing address

2929 N 75TH Ave Ste 15
Phoenix, AZ 85033-5443
Phone (602) 354-4506

National Provider Directory

National Provider Directory

Locations

2929 N 75th Ave
Ste 15
Phoenix, AZ 85033
Phone (602) 354-4506

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1407742190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N 75TH AVE STE 15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335443",
            "telephone_number": "602-354-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N 75TH AVE STE 15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335443",
            "telephone_number": "602-354-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SV TRAUMA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-203-5632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.